1Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan 063000; 2Department of Bone Tumor, Tianjin Hospital, Tianjin 300211; 3Department of Hand Surgery, Tianjin People's Hospital, Tianjin 300121
Abstract：Objective This study aimed to compare the clinical efficacy of double-ring cross suture method and suture bone anchor method in the treatment of acute Stener injury of the thumb. Methods A retrospective cohort study was conducted. A total of 16 patients with acute Stener injury of the thumb in the Second Hospital of Tangshan from January 2019 to July 2021 were included in this study, including 12 males and four females, aged 19-61 (41.0±13.9) years. Sixteen patients were divided into two groups in accordance with different surgical methods. Among them, nine patients were in the double collar group for repairing the ulnar collateral ligament by the double collar method, and seven patients were in the wire anchor group for repairing the ulnar collateral ligament by the wire anchor method. The observational indicators were as follows: (1) The baseline data of patients' age, sex, and time from injury to operation were compared between the two groups; (2) the operation time and hospitalization expenses were compared between the two groups; (3) eight months after operation, the function of the affected finger was evaluated in accordance with Saetta and other evaluation criteria, the Michigan hand function questionnaire (MHQ) was used to evaluate patients' satisfaction with the appearance of the affected finger, and the 10 cm-linear visual analog scale (VAS) was used to evaluate the pain degree of the affected finger. The above indices were compared between the two groups. Results (1) No significant difference was found in terms of gender, age, time from injury to operation, and other baseline data between the two groups (all P values >0.05). (2) The operation time was (59.3±5.2)min in the double collar group and (60.9±6.2)min in wire anchor group, and there was no significant difference between the two groups (t=0.53,P= 0.602). Hospitalization expenses of double collar group ([11.6±1.3] thousand yuan) were less than those of the wire anchor group ([16.9±0.8] thousand yuan), and the difference was statistically significant (t=9.44,P<0.001). (3) All the 16 patients were followed up for 8-24 (13.2±5.4) months. Eight months after surgery, the function evaluation of the affected finger showed that in the double collar group, six cases were excellent, two cases were good, and one case was fair. In the wire anchor group, five cases were excellent, one case was good, and one case was fair. MHQ was used to evaluate the satisfaction of the patient's finger appearance. Seven cases in the double collar group were very satisfied, one case was satisfied, and one case was average. Meanwhile, six cases in the wire anchor group were very satisfied, and one case was satisfied. For the pain VAS score of the affected finger, seven cases in the double collar group had no pain, and two cases had mild pain. Meanwhile, five cases in the wire anchor group had no pain, and two cases had mild pain, without statistical significance (all P values >0.05). Conclusion For the treatment of acute thumb Stener injury, the double-ring cross suture method and the suture bone anchor method have relatively reliable efficacy. The hospitalization cost of the double-ring cross suture method is less than that of the suture bone anchor method. Clinically, the operational habits of the operator and the economic situation of patients could be comprehensively considered when choosing the appropriate treatment method.
王力, 张净宇, 高顺红, 张文龙, 于志亮, 张云鹏, 于俊. 双套圈法与带线锚钉法治疗急性拇指Stener损伤的疗效比较[J]. 中华解剖与临床杂志, 2023, 28(4): 256-261.
Wang Li, Zhang Jingyu, Gao Shunhong, Zhang Wenlong, Yu Zhiliang, Zhang Yunpeng, Yu Jun. Comparative study of double-ring cross suture method and suture bone anchor method in the treatment of acute Stener injury of the thumb. Chinese Journal of Anatomy and Clinics, 2023, 28(4): 256-261.
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2023, Vol. 28 
